ABSTRACT
Cervical cancer is one of the most common cancers in women worldwide and although pap smear is considered as an effective screening program, the level of using screening is low. The purpose of this study is pap smear test structures for measuring health belief model and factors affecting women in urban centers covered Zarandieh. This was a cross-sectional study [descriptive-analytical] which included 265 Urban Women's in Zarandieh. Data collection instrument was a questionnaire included demographic variables and knowledge and health belief model questions. Data was analyzed using chi-square tests, Descriptive statistics, independent samples t-test, at the significance level of p<0.05. Significant differences were detected between those tested and not tested in mean of score knowledge and all the variables HBM [sensitivity, benefits, barriers, threat and intensity perceived],]p<0.001]. The HBM constructs, age, level of study and knowledge accounted for 30.8% of the variance observed for Pap test. Perceived susceptibility and benefit were the most important predicting factors. These findings can be used to guide the development of more effective educational programs and increase the amount of women's participation in Pap smear
ABSTRACT
Cervical cancer is the commonest malignancy among women in developing countries. Pap smear is only one proven strategy for the prevention by diagnosis of cervical cancer. The assessment of Health Belief Model construct about the performance s of Pap smear Test and its effective factors among Women's urban centers in Zarandieh. This is a cross-sectional analytical study carried out with 265 Urban Women in Zarandieh. This survey was done by completing a questionnaire based on health belief model. Data were analyzed using chi-square tests, independent samples t-test, logistic regression and descriptive statistics. The mean age of participants was 34.6 +/- 4.25 years, and the mean score of all the constructs in this group was higher than that in the group with no history of pap smear [P<0.001].The most common reasons for testing was recommendation by health workers [71%]. Among those who were never tested, low levels of perceived susceptibility [79%] were the most common barrier. Significant differences were detected between those tested and not tested in mean of score of all the variables HBM [sensitivity, benefits, barriers, threat and intensity perceived][p<0.001]. Based on the findings of this study, health care professionals must design educational program about cervical cancer in which both the benefits of Pap smear test and other HBM constructs including sensitivity are utilized